Yuli Fradkin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA09283000 Issued in NJ

Practice address

94 Valley Rd FL 2
Montclair, NJ 07042-2211

Phone

(646) 685-9836

NPI assigned

Aug 29, 2008

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Yuli Fradkin MD LLCGroup PAC ID 0648596148, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yuli Fradkin MD LLC

  • Psychiatry Physician
  • Montclair, NJ
  • NPI 1972908960

  NY

  Medicare reassignment Care Compare group Authorized official
• Research Diagnosis Therapy Group LLC

  • Psychiatry Physician
  • Fort Lee, NJ
  • NPI 1619555620
  Medicare reassignment NPD Authorized official
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment NPD
• Village Group Medical PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1275348823
  Medicare reassignment NPD
• Villagetms LLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1255167375
  Authorized official Same address or phone
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1255589461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 JAMES ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422913",
            "telephone_number": "646-685-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 VALLEY RD FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422211",
            "telephone_number": "646-685-9836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 West St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070245028",
            "country_code": "US",
            "telephone_number": "646-685-9836",
            "fax_number": "888-512-2123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 5th Ave Rm 1405",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100118002",
            "country_code": "US",
            "telephone_number": "646-685-9836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRADKIN",
        "first_name": "YULI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "255476",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA09283000",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "255476",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09283000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danielle Melisa Fox, L.C.S.W.
• Megan Fox, LCSW
• Debbie Sue Frank, LCSW
• Donald Harry Frank, M.D.
• Free of Mind Psychotherapy LLC
• Freehold Montclair Healthcare, LLC
• Fresenius Medical Care Montclair, LLC (Fresenius Medical Care North Montclair)

• Psychiatry Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.